| NPI | 1831308543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA CUEVAS Medical Billing Representative 561-276-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0083434) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |